Nicole Celeste Fogtman, MS, CCC-SLP - Speech-Language Pathologist in Enid, OK

Nicole Celeste Fogtman, MS, CCC-SLP is a Speech-language Pathologist based in Enid, Oklahoma. Nicole Celeste Fogtman is licensed to practice in Oklahoma (license number 5495) and her current practice location is 2615 E Randolph Ave, Enid, Oklahoma. She can be reached at her office (for appointments etc.) via phone at (412) 420-7164.

NPI number for Nicole Celeste Fogtman is 1124560933 and her current mailing address is 2615 E Randolph Ave, Enid, Oklahoma. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124560933.

Contact Information

Nicole Celeste Fogtman, MS, CCC-SLP
2615 E Randolph Ave,
Enid, OK 73701-4670
(412) 420-7164
(580) 234-2615



Healthcare Provider's Profile

Full NameNicole Celeste Fogtman
GenderFemale
SpecialitySpeech-language Pathologist
Location2615 E Randolph Ave, Enid, Oklahoma
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1124560933
  • Provider Enumeration Date: 11/09/2016
  • Last Update Date: 08/05/2021

Medical Identifiers

Medical identifiers for Nicole Celeste Fogtman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124560933NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist 6075 (Tennessee)Secondary
235Z00000XSpeech-language Pathologist 5495 (Oklahoma)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Celeste Fogtman is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nicole Celeste Fogtman, MS, CCC-SLP
2615 E Randolph Ave,
Enid, OK 73701-4670

Ph: (412) 420-7164
Nicole Celeste Fogtman, MS, CCC-SLP
2615 E Randolph Ave,
Enid, OK 73701-4670

Ph: (412) 420-7164

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› Verified 1 days ago


Speech-Language Pathologist in Enid, OK

Emily E Buller, MS CCC SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 2615 E Randolph Ave, Enid, OK 73701
Phone: 580-234-3734    Fax: 580-234-3554
Sarah White,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 305 S 5th St, Enid, OK 73701
Phone: 580-233-6100    
Paula J Weaver,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 2615 E Randolph Ave, Enid, OK 73701
Phone: 580-234-3734    Fax: 580-234-3554
Lori Ann Tydings,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 2102 Beverly Dr, Enid, OK 73703
Phone: 580-366-7650    
Jessica L Lathem, SLP-CCC
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 2615 E Randolph Ave, Enid, OK 73701
Phone: 580-234-3734    Fax: 580-234-2615
Ms. Gina Glynn Mcclure, MS, CCC/SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 500 S Independence St, Enid, OK 73701
Phone: 580-366-7110    

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